Miscarriage: Now What? OBGYN on miscarriage treatment: D&C, misoprostol, & what you need to know
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- Опубликовано: 30 июл 2024
- Early pregnancy loss (miscarriage, spontaneous abortion, missed miscarriage) is common. Knowing options for miscarriage treatment & important follow up is important. In this video, OBGYN discusses watching & waiting (expectant management), misoprostol & mifepristone (medical management), and D&C (surgical management) as well as how much bleeding is normal for miscarriage and how painful it might be. Subscribe for more educational content every Friday!
0:00 Intro
0:35 Miscarriage terms
3:21 How common is miscarriage?
4:22 How is miscarriage diagnosed?
6:56 3 Miscarriage treatment options
7:23 Expectant management: do nothing & wait
9:14 Medical treatment: misoprostol & mifepristone
12:03 Surgical treatment: suction D&C
13:30 Things everyone should know about miscarriage
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For more educational information on everything OB-GYN including BIRTH CONTROL, FERTILITY, POST-PARTUM, and PERIODS... follow me on Instagram / dr.martaperez
**Video is for educational purposes only and should not be used as personal medical advice. Please discuss anything related to your own health, diagnosis, and treatment with your own medical provider as information in this video may not pertain to your individual and specific situation. ** 
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I had an embryonic pregnancy,was 12wks at my 1st scan when i found out and had to take the pills, i took the pills yesterday,it was the worst pain ive ever had worse than labour, least with labour u get pain relief, paracetamol did nothing, ibuprofen i couldn't have as i didn't want to eat, the pain was horrific, i wouldn't want my worst enemy to go through that,no woman should, crying so much because of the pain
Fantastic video as always! So much detail--I wish my OBGYN and NP had been more specific about what to expect. I was told "Call when you start bleeding." :( And then my calls weren't returned. Miscarriage might be common, but it would be appreciated if care providers acted with more compassion and with thorough education! I also wish care providers included education on what to expect in terms of passing the sac, embryo, tissue, etc. Also with a SCH diagnosis, a recent care provider said to me, "If a miscarriage is going to happen, it's going to happen." Sure, true, but not comforting for someone who's experienced an early loss in the past.
Literally me. I felt so stupid because Healthcare is my profession. But no one told me anything. Except if you soak a pad in 2 hrs go to the ER. I didn't expect it to be as painful. And it was.
@@NB-nh2sf right mentally AND physically. It’s like the pain is back n forth. Kind of like labor as far as timing. Very similar to contractions.
@@NB-nh2sf did you go on to have more babies?
Thank you so much for this..I am scheduled for a D&C next week and this is our 1st miscarriage..your video help me gain a better understanding of the different options
What did u choose to do? 😢 How is the experience with d&c? How long did it take to recover?
D&C because the baby was already deceased..
@@SAV3DnFORGIVN did you feel pain? Or after that how was it. I have scheduled it this week
I just turned 40 and had a natural miscarriage 4 days ago (1st pregnancy) at 7w6d after 5 months of trying 🥺 my ultrasound at 8w2d confirmed as the uterus was empty. Is it possible that i could have an ectopic pregnancy? Can a dating scan detect this type of ptegnancy? I had bad cramps and bleeding when miscarried and bleeding has almost stopped now so i am thinking it is not ecotopic pregnancy. I hope to conceive and have a healthy baby soon 🙏 any medications or vitamins you can suggest to help with my next pregnancy? I took prenatals when i found out i was pregnant starting at week 4. When can i try to conceive again? I see my OBGYN Dec 21 which would have been my week 22 appt and hoping to get more guidance for next steps then.
Is it necessary to metriposole after having thick blood clot came out ?
Thank you Marta for this incredible information. I have a feeling that I have had a misdiagnosis on last ultrasound.
1st ultrasound at 8w1d. 2nd (due to spotting and slight cramps) indicate no cardiac activity and no development past 8w1d. I feel fine and my body is not sounding any alarms. Dr immediately ordered D&C. No options provided. I just decided that I have option to wait and re-test. Im somehow hopeful and believe all is ok. I will re-test in a week or so.
What happened if you don’t mind?
My first ultrasound was yesterday I was supposed to be 10 weeks but was measuring at 5w5d they’ll see me again 2 weeks from yesterday if I don’t miscarry by then and see if I just got my dates wrong and if there might be growth… I was tracking everything because I needed letrozole to get pregnant in the first place. I have no hope but thank you for this video because at least I kind of know what to expect now
I am a nervous wreck, I thought my pregnancy days were over. I have a 17,11, and 3 year old. Fibroids and had a lot of cysts since I was 13 I was birth control now nearing 38, my heart is heavy. I found out I’m pregnant about 9 weeks I have brown and pink spiting when I wipe in the morning an lower mid back pains, I never had this many times of spotting before in my previous 4 pregnancies one I lost 😞 I’m just nervous I’m going today to get checked an scanned my ob can’t see me until the end of the month so they said go to urgent care. Thanks for your videos 💕 I’m still kinda nauseas, an praying the little peanut is ok it’s crazy how you think your done and then all the sudden your in love with this little child that’s not even here yet, my spotting and pain is mailing in the morning when I stand so I’m thinking this could be due to the fibroids I dunno we will see, thank you 💕💕
How are you doing?
How are things? We want to know❤️🙌🏽❤️ just hoping you’re ok.
Thanks for this video you went over so many valid points ❤
A friend of mine took abortion pills and bleeded for a day but she is experiencing cramps and backpain. What should she do?
Does it take up to 8 weeks for the body to pass the pregnancy from time of first miscarriage symptoms or from the time of diagnosis?
Thanks so much for this video. Are you able to share any information about recovering after a miscarriage with tips on how to go about building ones body back to good health (with exercise etc) safely and talk a bit on the replenishing of the uterine lining? I had two D&C procedures a few days a part and am currently going by how my body feels day by day
. I don’t know sometimes if I’m doing too much too soon or whether certain a discomfort is a good sign for getting stronger (like during or after a gym workout for example). I also have endometriosis and wonder how best to navigate healing around this as well - not just with contraception but with other life hacks
After abortion my breasts milk is coming out
I don't know why am worried about it
I was told 3-5 hours of heavy bleeding where u fill a large pad per 45mins-1 hour was normal. I bled for 5 hours with painful contraction type cramps every few mins for about 3 hours before it eased off pretty quickly. Then lighter bleeding for about 5 days easing off over a few weeks to spotting.
Did you take medication?
Thank you for this video! It explaned a lot. I have a missed miscarriage and I am waiting for my body to expel the pregnancy. The problem is that even though I have discussed with my gynaecologist and we agreed that I would wait a couple of weeks I have been having a lot of pressure from my mother and mother in law and also from a friend to have a D&C.. They all think that the baby will immediately rot inside of me if I don't get rid of it and they have been really stressing me out. As if going through a miscarriage is not bad enough I have to deal with that also. This video helped me a lot... Is there a possibility that you will get an infection due to the embryo when you are doing expectant management? Why do some doctors recommend a D&C immediately after a missed miscarriage is diagnosed? I hope you see my questions 🤞🤞🤞
Try n get it out soon hun...All the best❤
I had a missed miscarriage and it took 4 weeks for the miscarriage to happen. I wanted my body to do it naturally which it did. My doc had me do blood tests to make sure my HCG levels were going down.
@@bethanysummers3377 what is a missed miscarriage? Does that mean you didn’t catch that you were miscarrying till later?
@@ChangedUpNowWhat its when the baby/embryo dies but it just takes time for your body to recognise that the pregnancy has ended and doesn't start to happen straight away. I think its pretty common. Takes time for hormones to drop. Sometimes u only know when u have a early scan and baby has no heatbeat. Its the natural way. A D&C is just a medical way of getting it done when its convenient.
When will my hCG level go back to zero after miscarriage? I’m in my 3rd week of miscarriage with spotting and a positive pregnancy test.
Did it dropped to zero? I had the same but I'm still positive in pregnancy test .
I just had my first miscarriage this would be my second pregnancy. I felt like I was in labor maybe even worse. When I was in labor with my first son it didn’t feel this painful. I ended up going to the ER and began to bleed significantly. I was changed I to a gown and was soaking through the bed liners and the gown and the two blankets they gave me. I was also not guided as to what is normal or what I should be expecting from a miscarriage. When I was in labor with my first son I was guided and told what I would be feeling and what is normal and I felt safe. With my miscarriage I had a few panic attacks because I was so scared I thought and felt like I was dying. My nurses hardly checked on me. They only offered me water once. And they helped me change twice and I was changing myself the rest of the time. There was so much blood all the way to my knees and soaked through everything through the night. I noticed the heavy bleeding subsided the next morning. I believe I passed the sac with the fetus, but the nurses couldn’t confirm. A few hours later I passed the placenta. The bleeding subsided significantly. I asked for all the blood tests results and was never given an answer. They kept checking my blood count because of the heavy bleeding. Eventually they sent me home. I am scheduled for a dnc today. I’m scared, but your video helped me a lot I wish I would have searched this before.
What are some reasons the body might not recognize a pregnancy loss? I was at 11 weeks with no outward signs that the pregnancy was not viable and no indication that a miscarriage would happen on its own.
This is a great question because I had the same situation but at 10 weeks.
@@osmania6116 I’m so sorry that happened to you 😢
Same for me at 12wks and 6days
I had a miscarriage at 14 weeks. I had no indication. Just no heartbeat during the ultrasound. So sacred to try again.
I too had missed miscarriage at 12 weeks ultrasound nno heart beats..
Is it necessary to metriposole after having thick blood clot came out ?